Park Won Hee, Shin Tae Young, Yoon Sang Min, Park Soo-Hwan, Kang Yong Jin, Kim Do Kyung, Han Jee-Young, Seong Do Hwan
Department of Urology, Inha University College of Medicine, Incheon, Korea.
Department of Urology, Hallym University College of Medicine, Chuncheon, Korea.
J Korean Med Sci. 2014 Jul;29(7):1018-20. doi: 10.3346/jkms.2014.29.7.1018. Epub 2014 Jul 11.
Sparganosis is a parasitic infestation of human by plerocercoid larvae. Sparganum is usually reported to be found in the subcutaneous tissues as well as other organs, including scrotum. However, testicular sparganosis is extremely rare, because of strong capsule of tunica albuginea. An urban-living 54-yr-old Korean man presented with left scrotal pain for 6 yr. Both testes look normal physically. Ultrasonography revealed poorly defined, heterogeneous mass with increased echogenicity in the left testis. This case was misdiagnosed as testicular tumor and underwent orchiectomy, but was diagnosed as testicular sparganosis by histopathology. Sparganosis should be included for differential diagnosis of testis tumor in countries where sparganosis is prevalent.
裂头蚴病是人体被裂头蚴幼虫寄生的一种疾病。通常报道裂头蚴多见于皮下组织以及包括阴囊在内的其他器官。然而，睾丸裂头蚴病极为罕见，因为白膜有较强的包膜。一名居住在城市的54岁韩国男性因左侧阴囊疼痛6年就诊。体格检查时双侧睾丸外观正常。超声检查显示左侧睾丸有边界不清、回声不均匀且回声增强的肿块。该病例曾被误诊为睾丸肿瘤并接受了睾丸切除术，但经组织病理学诊断为睾丸裂头蚴病。在裂头蚴病流行的国家，睾丸肿瘤的鉴别诊断应包括裂头蚴病。
